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[Functional results in children with retinopathy of prematurity stage 4 and 5]
M E Prost1, E Oleszczyńska-Prost
1Kliniki Okulistyki Instytutu Pomnik-Centrum Zdrowia Dziecka w Warszawie.
Insights
Children with advanced retinopathy of prematurity (ROP) stages 4 and 5 face a poor visual prognosis, often resulting in blindness. Early surgical intervention is crucial for preserving any useful vision.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Retinal Diseases
Context:
- Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
- Advanced stages (4 and 5) of ROP are associated with severe visual outcomes.
- Understanding the long-term structural and functional results is critical for patient management.
Purpose:
- To evaluate the structural and functional outcomes in children diagnosed with stage 4 and 5 retinopathy of prematurity.
- To assess visual acuity and binocular vision in a cohort of children with advanced ROP.
- To determine the prognosis for vision in this vulnerable pediatric population.
Summary:
- A study observed 91 children with ROP stages 4 and 5 between 1990-1998.
- Clinical course, visual acuity, and binocular vision were monitored during follow-up.
- The majority of patients with ROP stages 4 and 5 were found to be blind or practically blind, even with stage 4a diagnosis.
Impact:
- The prognosis for vision in children with advanced ROP (stages 4 and 5) is poor.
- Surgical treatment for retinal detachment in these cases is recommended to potentially salvage useful vision.
- This research underscores the importance of timely and aggressive management for severe ROP.
Aim Of The Paper:
To investigate the structural and functional results in children with retinopathy of prematurity stage 4 and 5.
Material And Methods:
91 children with ROP stage 4 and 5 were observed by the authors in years 1990-1998. In all patients the clinical course of the disease, visual acuity and binocular vision were examined during follow-up.
Results:
Most patients with ROP stage 4 and 5 are blind or practically blind, even the children in whom only stage 4a was diagnosed.
Conclusion:
Prognosis for vision in children with ROP stage 4 and 5 is poor and all methods of surgical treatment of retinal detachment should be performed in these children to safeguard some kind of useful vision in some patients.